Illinois Medicaid FFS is parsed from Practitioner Fee Schedule Effective 07/01/2026 Updated 08/11/2026 (Illinois Department of Healthcare and Family Services). File effective 2026-07-01. Last verified 2026-09-10. Official source.
Last updated
Last verified 2026-09-10 · file effective 2026-07-01. Psychiatric add-ons, age-band variants, and extra procedure types are cited on each rate page, not blended. See Methodology and Data Sources.
| CPT | Medicaid FFS | Facility | Effective | Compare Medicare |
|---|---|---|---|---|
| CPT 90791 | $122.11 | n/a | 2019-07-01 | 90791 / Illinois |
| CPT 90792 | $124.44 | n/a | 2019-07-01 | 90792 / Illinois |
| CPT 90832 | $46.98 | n/a | 2024-04-01 | 90832 / Illinois |
| CPT 90834 | $124.06 | n/a | 2024-04-01 | 90834 / Illinois |
| CPT 90837 | $183.16 | n/a | 2024-04-01 | 90837 / Illinois |
| CPT 90839 | $88.59 | n/a | 2024-04-01 | 90839 / Illinois |
| CPT 90847 | $69.80 | n/a | 2024-04-01 | 90847 / Illinois |
| CPT 90853 | $33.70 | n/a | 2026-07-01 | 90853 / Illinois |
Not on the Illinois file we load: 90846.
How Illinois Medicaid compares with Medicare and UnitedHealthcare
In Illinois, Medicaid fee-for-service pays $183.16 for CPT 90837, from the HFS Practitioner file effective 2024-04-01. Medicare pays $163.89 to $169.49 in an office setting (CMS RVU26D, effective 2026-10-01), so Medicaid is 111.8% of the lowest Medicare amount in the state. The UnitedHealthcare (Optum Behavioral Health) median is $137.78, and the middle 80% of published UHC rates run from $85.31 to $189.82 (UHC price transparency file dated 2026-09-01).
| CPT | Medicaid FFS | Medicare | UHC median | Medicaid as % of Medicare |
|---|---|---|---|---|
| CPT 90837 | $183.16 | $163.89 to $169.49 | $137.78 | 111.8% |
| CPT 90834 | $124.06 | $111.86 to $115.76 | $102.90 | 110.9% |
| CPT 90791 | $122.11 | $169.86 to $175.96 | $153.24 | 71.9% |
| CPT 90832 | $46.98 | $84.23 to $87.11 | $71.45 | 55.8% |
Related official rates
- CPT 90837 Medicare and Medicaid FFS in Illinois
- Compare a 90837 offer in Illinois
- All Medicaid FFS state hubs
- What UnitedHealthcare pays in Illinois
- CPT 90834 Medicare and Medicaid FFS in Illinois
- UnitedHealthcare Optum Behavioral Health medians
- How Parite sources rates
Questions
Which psychotherapy codes have official Illinois Medicaid FFS amounts?
Illinois Medicaid FFS is parsed for CPT 90791 $122.11; CPT 90792 $124.44; CPT 90832 $46.98; CPT 90834 $124.06; CPT 90837 $183.16; CPT 90839 $88.59; CPT 90847 $69.80; CPT 90853 $33.70. Not on the published file: 90846.
What is the Illinois Medicaid FFS amount for CPT 90837?
$183.16 from HFS Practitioner, effective 2024-04-01, last verified 2026-09-10.
What official file is the Illinois Medicaid FFS extract from?
Illinois Department of Healthcare and Family Services: Practitioner Fee Schedule Effective 07/01/2026 Updated 08/11/2026. Last verified 2026-09-10. MCO and commercial amounts are not copied from this FFS file.
Are Illinois Medicaid MCO or commercial rates in these tables?
This hub lists official Medicaid fee-for-service cells. Commercial price transparency percentiles and Medicaid MCO rates stay Coming soon.
How does Illinois Medicaid pay for 90837 compared with Medicare and UnitedHealthcare?
Illinois Medicaid fee-for-service pays $183.16 for CPT 90837, which is 111.8% of the lowest Illinois Medicare non-facility amount ($163.89, CMS RVU26D). The UnitedHealthcare median is $137.78 (84.1% of Medicare), from the UHC price transparency file dated 2026-09-01. Medicaid health plan and other commercial rates can differ.